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Organization
DR. KENNETH J MORRISSEY, MD PC
Active
Organization
DR. KENNETH J MORRISSEY, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J MORRISSEY MD (ORTHOPAEDIC SURGEON)
(401) 944-8700
Entity
Organization
Contact information
Practice address
1150 RESERVOIR AVE, SUITE 200, CRANSTON, RI 02920-6068
(401) 944-8700
(401) 944-8767
Mailing address
1150 RESERVOIR AVE, SUITE 200, CRANSTON, RI 02920-6068
(401) 944-8700
(401) 944-8767
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD06505
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200054
BLUE CHIP
RI
05
—
9002080
—
RI
Enumeration date
03/26/2007
Last updated
05/14/2012
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